Advantages and disadvantages of a method

When assessing a contraceptive method effectiveness is a very important aspect. However, all methods also have certain advantages and disadvantages which are not directly related to their contraceptive action. These include the convenience and the comfort of use and the positive and negative side-effects of some preparations.

Convenience and comfort

Evaluation of the convenience of a method is always subjective.
For example, some women find taking the pill every day very convenient and uncomplicated while others find it a nuisance.

Hormonal depot preparations have the advantage that they provide contraceptive protection for a long time after a single administration. The intrauterine system, for example, is inserted in the uterus where it releases small amounts of a hormone for about 5 years. During this time you do not have to think about contraception any more.

Correct use of the so-called natural family planning methods is very time-consuming and requires a high level of discipline. If you use the temperature method, for example, you have to take your temperature every morning before you get up. By carefully plotting your temperature on a chart you can then identify your fertile and infertile days. On the fertile days sexual intercourse is not allowed. This method of family planning is therefore also known as periodic abstinence. It leaves little room for spontaneity in your love life.

Some methods are only used when contraception is required, i.e. just before intercourse. The cap or diaphragm has to be inserted more or less shortly before having sex and some women dislike this or find it interferes with lovemaking.

Positive effects on health

Some contraceptive methods also have important preventive and therapeutic effects.







Some contraceptive methods also have important preventive and therapeutic effects.

The pill not only provides effective protection against pregnancy but also helps prevent the development of certain diseases. For example, it lowers the risk of developing cancer of the ovaries or the womb. The pill can also be used for the treatment of certain diseases.

For women who suffer from acne and hirsutism there are hormone preparations which also have contraceptive action. This means that a single preparation can be used to treat the disease and prevent pregnancy.

Condoms have the advantage that they provide additional protection against sexually transmitted diseases.

Side-effects

Some contraceptives are drugs which can have unwanted side-effects in addition to their desired effects.

Some women have nausea or headaches when they start using hormonal contraceptives. These symptoms usually disappear after a few cycles.

With progestin-only preparations such as the minipill irregular bleeding is common.

With combined preparations containing estrogen and progestin the estrogens can lead to accumulation of fluid in the tissues. In women with an appropriate disposition the estrogen can also cause a patchy yellowish-brown discoloration of the skin, particularly on the face. In this case prolonged exposure to sunlight and UV radiation should be avoided.

On the other hand, serious side-effects of hormonal contraceptives are rare. Before your doctor prescribes you a hormonal contraceptive he will check your health and ask you about your lifestyle (e.g. smoking). You should not smoke if you want to use hormonal contraceptives because this increases the risk of thrombosis.

Non-hormonal methods of contraception can also have unwanted side-effects. For example, the intrauterine device often leads to ascending infections and pelvic inflammatory disease.

Chemical agents can lead to unpleasant irritation of the genitals (burning, itching, sensation of heat).

Weighing up the advantages and disadvantages

Choosing a contraceptive always means weighing up the advantages and disadvantages.

When making your choice you should think about which advantages are important for you and which disadvantages you can put up with and which you find unacceptable.

Your doctor will help you make the decision, particularly in the case of hormonal contraceptives for which you need a prescription. But he won't be able to make the decision for you. It is up to you to inform yourself about the different aspects of each form of contraception.